Oireachtas Joint and Select Committees

Wednesday, 16 May 2018

Joint Oireachtas Committee on Future of Mental Health Care

Restructuring of Mental Health Services: HSE

1:30 pm

Mr. Dean Sullivan:

If I may continue, the extent of need exceeds our ability to respond to that need.

None of us likes that. I am not happy about that being the position. I suggest it might be a fruitful course of action to ask if the committee is satisfied that we are doing everything we can with the resources we have to maximise capacity to respond to that need or not. I do not doubt there are opportunities to spend money differently or for the staff we have to be more productive than is sometimes the case. Will that, in one leap, bring child and adolescent mental health services, CAMHS, capacity to the demand for CAMHS such that patients, as they should, have timely access to high quality services across the country? It will not. There are not enough resources in CAMHS to provide the timely access that is required. We can all spend a long time working out whose fault that is and whether expenditure of €400,000 on taxis fixes that. We will have a more productive discussion, hopefully one that the committee will be less frustrated by, if we take it up a couple of levels. If those fundamentals are not right and the €15 billion is not where it needs to be, or the subset of resources directed to specialist and non-specialist needs of mental health patients is not where it needs to be, aside from all the wider societal factors that are driving those needs, then it does not matter how I or other witnesses respond to the committee's questions. It does not matter what finance information systems we have because it is still cutting a problem. We just have a better understanding that it is a problem as opposed to fixing it at source. I do not want to use too much of the committee's time but I would not want it to have any sense that we are trying to be obtuse or to frustrate the process.

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